Foreman, Kristin Elizabeth

Foreman, Kristin Elizabeth is an individual health care provider with primary practice located at 902 E Eason Ave , Buckeye AZ 85326-2602. She recently has only one registered license in Behavioral Health & Social Service Providers / School, which is considered as her primary health care specialty. Foreman, Kristin Elizabeth can be contacted via phone (623) 606-4408.

Contact Information

Primary practice address
902 E Eason Ave Buckeye AZ 85326-2602
Fax: (623) 386-9706
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / School 103TS0200X

Profile Details

NPI number 1669638649
LBN Legal business name Foreman, Kristin Elizabeth
Credentials ED.S
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 30th, 2008
Last updated Jul 30th, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669638649 NPPES
Arizona MEDICAID 866000526

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